LAX89FA136

NTSB accident investigation · Aerospatiale AS-355-F · Bear Valley, CA · March 26, 1989

Accident · No injuriesField investigationFinal report
Date
March 26, 1989, 12:33 local (20:33 UTC)
Place
Bear Valley, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N84MHAerospatiale AS-355-F
Weather
Visual (VMC) · Day
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19890326004639A
Case key
26218

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Improper in-flight planning/decision by the pilot, which resulted in a loss of aircraft control during a slow speed, downwind approach to a high altitude stolport. Contributing factors were: high density altitude, tailwind, improper weather evaluation by the pilot, snow covered terrain, whiteout conditions before touchdown, and the snowbank.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightApproach - vfr pattern - final approach
In-flight planning/decision - improperPilot in commandCause
Weather condition - high density altitudeFactor
Weather condition - tailwindFactor
Wrong runway - selectedPilot in command
Weather evaluation - improperPilot in commandFactor
Aborted landing - attempted
Go-around - not possible
Autorotation - initiated
Terrain condition - snow coveredFactor
Weather condition - whiteoutFactor
Aircraft control - inadequate
Roll overLanding
Terrain condition - snowbankFactor

Analysis

The emerg med svc (ems/medivac) flt departed modesto hospital to transport a patient from Bear Valley, CA. The pilot made an apch to the Bear Valley stolport from the south-southwest. Elev of the stolport was 7073'. Drg the apch at slow speed, the helicopter began to yaw to the left. The plt applied rgt pedal, but to no avail. He lowered the nose to begin a go-around, but the yaw began to accelerate. The plt then shut down both engs & made an autorotation. Just beforelanding, loose snow was blown up & whiteout conditions occurred. Drg touchdown, the helicopter pitched forward into a snowbank & was damaged. The plt rprtd the wind was light & variable. A sheriff's deputy rprtd the wind was from the south/southwest at 5 to 10 KTS. The investgation revealed no evidence of a tail rotor drive malfunction or failure.

Aircraft

Registration
N84MH
Reported as
Aerospatiale AS-355-F
Category
Helicopter
Serial number
5173
Airframe hours
2,385
Engine
Allison 250-C20F, 250 horsepower, turbo shaft
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Care, Inc, doing business as Mediflight
Registered owner
Memorial Hospitals Ass.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · February 22, 1989 · 37 hours before
Departed
Modesto, CA
Flight plan
Company VFR
Airport
0Q0 · Bear Valley Stolport

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Certificates
Commercial, Flight engineer, Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
4,700 total · 120 in this make and model · 60 in the last 90 days · 20 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
15 statute miles
Lowest ceiling
None
Temperature
36 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.